Association of Interfacility Helicopter versus Ground Ambulance Transport and In-Hospital Mortality Among Trauma Patients
| Autor: | Tabitha Garwe, Babawale Oluborode, Kenneth Stewart, Roxie M. Albrecht, Zoona Sarwar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Emergency Medical Services Adolescent Aircraft Ambulances 030204 cardiovascular system & hematology Emergency Nursing Article 03 medical and health sciences 0302 clinical medicine Injury Severity Score Trauma Centers Ground ambulance transport Medicine Humans cardiovascular diseases Hospital Mortality Retrospective Studies In hospital mortality business.industry 030208 emergency & critical care medicine Air Ambulances Emergency medicine Emergency Medicine Wounds and Injuries business |
| Zdroj: | Prehosp Emerg Care |
| Popis: | BACKGROUND: Relatively few studies have compared outcomes between helicopter transport (HT) and ground transport (GT) for the inter-facility transfer of trauma patients to tertiary trauma centers (TTC). Mixed results have been reported from these studies ranging from a slight increase in odds of survival for the severely injured to no evident benefit for HT patients. We hypothesized there was no adjusted difference in mortality between patients transported interfacility by HT or GT taking into account distance from TTC. METHODS: Data from an inclusive statewide trauma registry was used to conduct a retrospective cohort study of adult (18+ years old) trauma patients who initially presented to a non-tertiary trauma center (NTC) before subsequent transfer by HT or GT to a TTC. Records from the NTC and TTC were linked (N=9880). We used propensity adjusted, multivariable Cox proportional hazards models to assess the association of HT on mortality at 72-hour and within the first 2 weeks of arrival at a TTC; these multivariable analyses were stratified by distance (miles) between NTC and TTC: 21-90, and greater than 90. RESULTS: Mean distance between NTC and TTC was greater for HT patients, 96.7 miles versus 69.9 miles for GT. A higher proportion of patients among the HT group had an ISS of 16 or higher (24.6% vs 10.9%), an initial SBP |
| Databáze: | OpenAIRE |
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